Iwainsky H, Winsel K, Grollmuss H, Unger U
Z Erkr Atmungsorgane. 1985;164(3):231-40.
The incidence of interstitial lung diseases is increased during the last years. A possibility for improvement the diagnosis of these lung diseases is the bronchoalveolar lavage (BAL). In a critical review the performance of the BAL, same properties of the isolated macrophages and the determination of biochemical parameters in lavage fluid are described. In this context especially problems of diagnosis of sarcoidosis are discussed. There are new fields of application of BAL (diagnosis of occupational lung diseases, control of therapy). In order to improve the comparability of different results a standardization of BAL is necessary.
在过去几年间，间质性肺疾病的发病率有所上升。支气管肺泡灌洗术（BAL）是一种改进这些肺部疾病诊断的方法。本文对BAL的操作、分离出的巨噬细胞的特性以及灌洗液中生化参数的测定进行了批判性综述。在此背景下，特别讨论了结节病的诊断问题。BAL有新的应用领域（职业性肺病的诊断、治疗监测）。为提高不同结果的可比性，有必要对BAL进行标准化。
